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Primary Care Update

Primary Care Update

Episode 205: inhaled steroid dose, titrating GLP-1s, zoster vaccine and dementia, and trusting AI

Apr 29, 2026 · 37 min · 14 segments

This week, primary care doctors Kate, Gary, Mark and Henry discuss high vs low dose inhaled steroids for high risk patients with asthma, click based semaglutide titration to reduce GI problems, zoster…

This week, primary care doctors Kate, Gary, Mark and Henry discuss high vs low dose inhaled steroids for high risk patients with asthma, click based semaglutide titration to reduce GI problems, zoster vaccine and dementia risk, and whether we are trusting AI too much.

This week, primary care doctors Kate, Gary, Mark and Henry discuss high vs low dose inhaled steroids for high risk patients with asthma, click based semaglutide titration to reduce GI problems, zoster…

Spotify Apple Podcasts

Top entities: Artificial intelligence×48 Chicago×6 ChatGPT×7 United States Department of Justice×5 University of Houston

Speakers: Gary FerenchickHostMark EbellHostKate RowlandHostHenry BarryHost

Show signals: SuitabilitySafeBiasNot politicalAudience≈8k followers

Welcome and Host Introductions0:00 – 0:30

M

0:00

[gentle music] Welcome to episode 205 of Primary Care Update.

M

0:10

I'm Mark Abell, Professor of Family Medicine at Michigan State, and Editor-in-Chief of Essential Evidence Plus.

K

Kate RowlandHost

0:16

I'm Kate Rowland, family physician and associate professor at Rush University.

G

Gary FerenchickHost

0:20

I'm Gary Frenchik, general internist and professor of medicine at Michigan State University.

H

Henry BarryHost

0:25

Hi, I'm Henry Berry, a family physician and one of the originators of POEMs.

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Artificial intelligenceEntityProfessional field
98%48 mentions
ChicagoCityCity in Illinois
95%6 mentions
ChatGPTSoftware ApplicationSoftware
92%7 mentions
United States Department of JusticeGovernment OrganizationGovernment department
88%5 mentions
University of HoustonCollege or UniversityPublic university in Houston, Texas
85%1 mention
SpotifyCompanyCompany
82%2 mentions
Budesonide / FormoterolEntityMedication
78%2 mentions
Zoster vaccineEntityVaccine
75%9 mentions
Number needed to treatEntity
72%2 mentions
Rush UniversityCollege or UniversityUniversity in Chicago, Illinois
68%3 mentions
VaccineEntity
65%2 mentions
The University of ChicagoCollege or UniversityPrivate university in Chicago, Illinois
62%1 mention
SemaglutideEntityMedication
58%1 mention
TitrationEntity
55%1 mention
FEV1/FVC ratioEntityDiagnostic test
52%2 mentions
WalesCountryUK constituent country
48%1 mention
Food and Drug AdministrationGovernment OrganizationFederal agency
45%2 mentions
2001: A Space OdysseyMovie1968 film
42%2 mentions
Michigan State UniversityCollege or UniversityLand-grant university in East Lansing, Michigan
38%3 mentions
Number needed to harmEntity
35%1 mention
WelshLanguageSpoken language
32%1 mention
Robert F. KennedyPersonLawyer and former United States Attorney General
28%1 mention
Debbie DownerEntityFictional character
25%2 mentions
Rush Medical CollegeEntityMedical school in Chicago, Illinois
22%1 mention
Global Initiative for AsthmaOrganization
18%1 mention
GLP-1 receptor agonistEntityMedication
15%1 mention
AustraliaCountryCountry in Oceania
12%3 mentions
GodEntitySupreme being
8%2 mentions
SalbutamolEntityMedication
5%1 mention
ClockEntityMeasuring device
2%1 mention

HealthcareHealth
Respiratory DiseasesHealth > Healthcare
Randomized Controlled TrialsHealth > Healthcare > Clinical Research
AsthmaHealth > Healthcare > Respiratory Diseases
Chronic Disease ManagementHealth > Healthcare > Patient Care
Inhaled CorticosteroidsHealth > Healthcare > Pharmacology
Study OutcomesHealth > Healthcare > Clinical Research > Randomized Controlled Trials
Clinical Decision SupportTechnology > Artificial Intelligence > Medical Applications
Patient CareHealth > Healthcare
Medical ApplicationsTechnology > Artificial Intelligence
PharmacologyHealth > Healthcare
Treatment GuidelinesHealth > Healthcare > Respiratory Diseases > Asthma
Dosage and AdministrationHealth > Healthcare > Pharmacology > Inhaled Corticosteroids
Therapeutic StrategiesHealth > Healthcare > Patient Care > Chronic Disease Management
Automation BiasTechnology > Artificial Intelligence > Medical Applications > Clinical Decision Support
Health
Technology
Artificial IntelligenceTechnology
Clinical ResearchHealth > Healthcare

Welcome and Host Introductions0:00 – 0:30

M

0:00

[gentle music] Welcome to episode 205 of Primary Care Update.

M

0:10

I'm Mark Abell, Professor of Family Medicine at Michigan State, and Editor-in-Chief of Essential Evidence Plus.

K

Kate RowlandHost

0:16

I'm Kate Rowland, family physician and associate professor at Rush University.

G

Gary FerenchickHost

0:20

I'm Gary Frenchik, general internist and professor of medicine at Michigan State University.

H

Henry BarryHost

0:25

Hi, I'm Henry Berry, a family physician and one of the originators of POEMs.